US11116663B2 - System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine - Google Patents
System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine Download PDFInfo
- Publication number
- US11116663B2 US11116663B2 US15/874,984 US201815874984A US11116663B2 US 11116663 B2 US11116663 B2 US 11116663B2 US 201815874984 A US201815874984 A US 201815874984A US 11116663 B2 US11116663 B2 US 11116663B2
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- United States
- Prior art keywords
- eye
- alignment pattern
- image
- patient
- light
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/13—Ophthalmic microscopes
- A61B3/135—Slit-lamp microscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/0008—Apparatus for testing the eyes; Instruments for examining the eyes provided with illuminating means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/0016—Operational features thereof
- A61B3/0025—Operational features thereof characterised by electronic signal processing, e.g. eye models
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/13—Ophthalmic microscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00821—Methods or devices for eye surgery using laser for coagulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N5/0613—Apparatus adapted for a specific treatment
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B21/00—Microscopes
- G02B21/0004—Microscopes specially adapted for specific applications
- G02B21/0012—Surgical microscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/2015—Miscellaneous features
- A61B2018/2025—Miscellaneous features with a pilot laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00863—Retina
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N2005/063—Radiation therapy using light comprising light transmitting means, e.g. optical fibres
-
- A61N2005/067—
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N5/067—Radiation therapy using light using laser light
Definitions
- the HUD system 113 is configured to receive the NIR image of the patient's eye 120 - 1 , superimpose the NIR image of the patient's eye 120 - 1 with direct image of patient's eye 120 - 1 and propagate the superimposed image of patient's eye 120 - 1 to user eye 130 - 1 .
- the HUD display system 113 includes a light source, microdisplay, collimating optics, beam splitting optics for providing images to the observation paths (e.g., left and right paths), and beam-splitters in the observation path for directing visible light toward user 130 .
- ophthalmic illumination and microscopic viewing system 100 is configured to project a circle around the beam to identify a “thermal damage zone” which is pre-computed using a computational model of laser-tissue heating or taken from clinical burn appearance database for different spot-size/pulse duration combinations (as described, e.g., in Daniel Palanker et al. “The Impact of Pulse Duration and Burn Grade on Size of Retinal Photocoagulation Lesion: Implications for Pattern Density” Retina 31.8 (2011): 1664-1669.)
Abstract
Description
Claims (20)
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/874,984 US11116663B2 (en) | 2018-01-19 | 2018-01-19 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
PCT/US2019/013421 WO2019143544A1 (en) | 2018-01-19 | 2019-01-14 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
JP2020530991A JP2021511095A (en) | 2018-01-19 | 2019-01-14 | Systems and Methods for Invisible Laser Treatment Alignment Patterns for Patients in Ophthalmic Optical Medicine |
EP19703467.1A EP3740803A1 (en) | 2018-01-19 | 2019-01-14 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
US17/398,323 US20220062036A1 (en) | 2018-01-19 | 2021-08-10 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/874,984 US11116663B2 (en) | 2018-01-19 | 2018-01-19 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US17/398,323 Continuation US20220062036A1 (en) | 2018-01-19 | 2021-08-10 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
Publications (2)
Publication Number | Publication Date |
---|---|
US20190224043A1 US20190224043A1 (en) | 2019-07-25 |
US11116663B2 true US11116663B2 (en) | 2021-09-14 |
Family
ID=65279679
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US15/874,984 Active 2038-04-28 US11116663B2 (en) | 2018-01-19 | 2018-01-19 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
US17/398,323 Pending US20220062036A1 (en) | 2018-01-19 | 2021-08-10 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US17/398,323 Pending US20220062036A1 (en) | 2018-01-19 | 2021-08-10 | System and method for a patient-invisible laser treatment alignment pattern in ophthalmic photomedicine |
Country Status (4)
Country | Link |
---|---|
US (2) | US11116663B2 (en) |
EP (1) | EP3740803A1 (en) |
JP (1) | JP2021511095A (en) |
WO (1) | WO2019143544A1 (en) |
Citations (41)
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DE1015314B (en) | 1955-08-16 | 1957-09-05 | August Schwarz Fa | Locking arrangement for pneumatic copiers |
US4196980A (en) | 1974-06-20 | 1980-04-08 | Propper Manufacturing Co., Inc. | Opthalmoscope examination pattern having light transmissive fixation point |
WO1986000512A1 (en) | 1984-07-14 | 1986-01-30 | G. Rodenstock Instrumente Gmbh | Eye testing apparatus for examining the bottom of the eye |
EP0221649A2 (en) | 1985-09-09 | 1987-05-13 | Ocular Instruments, Inc. | Slit lamp attachment |
JPS62109542A (en) | 1985-09-09 | 1987-05-20 | オキユラ− インストルメンツ,インコ−ポレイテツド | Attachment for slit lamp |
WO1987005204A1 (en) | 1986-03-08 | 1987-09-11 | G. Rodenstock Instrumente Gmbh | Slit lamp for the laser treatment of the eye |
JPS6450009A (en) | 1987-08-21 | 1989-02-27 | Minolta Camera Kk | Light beam scanner |
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JPH08117193A (en) | 1994-10-20 | 1996-05-14 | Topcon Corp | Fundus camera |
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WO2000027273A1 (en) | 1998-11-06 | 2000-05-18 | Q-Vis Limited | Eye tracker for refractive surgery |
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EP1400829A1 (en) | 2002-09-17 | 2004-03-24 | Leica Microsystems (Schweiz) AG | Microscope for ophthalmologic surgery with object illumination |
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JP6394338B2 (en) * | 2014-12-04 | 2018-09-26 | ソニー株式会社 | Image processing apparatus, image processing method, and imaging system |
-
2018
- 2018-01-19 US US15/874,984 patent/US11116663B2/en active Active
-
2019
- 2019-01-14 WO PCT/US2019/013421 patent/WO2019143544A1/en unknown
- 2019-01-14 JP JP2020530991A patent/JP2021511095A/en active Pending
- 2019-01-14 EP EP19703467.1A patent/EP3740803A1/en active Pending
-
2021
- 2021-08-10 US US17/398,323 patent/US20220062036A1/en active Pending
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DE1015314B (en) | 1955-08-16 | 1957-09-05 | August Schwarz Fa | Locking arrangement for pneumatic copiers |
US4196980A (en) | 1974-06-20 | 1980-04-08 | Propper Manufacturing Co., Inc. | Opthalmoscope examination pattern having light transmissive fixation point |
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JPS62109542A (en) | 1985-09-09 | 1987-05-20 | オキユラ− インストルメンツ,インコ−ポレイテツド | Attachment for slit lamp |
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CN202044247U (en) | 2011-05-03 | 2011-11-23 | 上海美沃精密仪器有限公司 | Micro-display slit device |
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US20190224043A1 (en) | 2019-07-25 |
JP2021511095A (en) | 2021-05-06 |
EP3740803A1 (en) | 2020-11-25 |
WO2019143544A1 (en) | 2019-07-25 |
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